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Secondary scrotal lymphedema: A novel microsurgical approach
Author(s) -
Mukenge Sylvain,
Pulitanò Carlo,
Colombo Renzo,
Negrini Daniela,
Ferla Gianfranco
Publication year - 2007
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.20426
Subject(s) - medicine , microsurgery , anastomosis , lymphedema , lymphatic system , surgery , cystectomy , bladder cancer , cancer , breast cancer , immunology
Secondary scrotal lymphedema is an infrequent complication of radical cystectomy assiociated with pelvic lymphadenectomy. We report a case of secondary lymphedema of male genitalia presenting more than 4 years after a radical cystectomy with extended pelvic lymphadenectomy for adenocarcinoma of the bladder. Microsurgical lymphovenous anastomoses are usually performed using only the scrotal lymphatics excluding the testicular lymphatics drainage. We have experimented a new microsurgical technique based on lymphovenous anastomosis between the collectors of the spermatic funiculus and the veins of the pampiniform plexus, allowing the testicular lymphatic drainage. © 2007 Wiley‐Liss, Inc. Microsurgery, 2007.